Individual
JACLYN SACHIE PANG ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 597-1711
Mailing address
2038 ALA MAHAMOE ST UNIT A, HONOLULU, HI 96819-1665
(510) 882-4622
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-78733
HI
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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